DR. DEREK JUSTIN DANNER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104289222

DR. DEREK JUSTIN DANNER (MD) is a healthcare provider. based in Houston, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. T7529 (TX). The NPI Number for DR. DEREK JUSTIN DANNER (MD) is 1104289222

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK JUSTIN DANNER (MD)
NPI
1104289222
Phone
(832) 227-1779
Address
18200 KATY FWY # WB011551
Enumeration Date
5 April 2016
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
8328263000
Graduation Year
2016 (10 years ago)
PAC ID
6406239664
Group Practice PAC ID
0244298446
Professional Enrollment ID
I20220822000093
Address ID
TX770302351HO6651XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,394 PATHOLOGY in TX

Provider Addresses for DR. DEREK JUSTIN DANNER (MD)

  • 18200 KATY FWY # WB011551

    HOUSTON, TX 770941285

    Phone: (832) 227-1779

    Type: Mailing

  • 1711 OLD SPANISH TRL APT 224

    HOUSTON, TX 770541964

    Phone: (480) 612-2422

    Type: Mailing

  • 1 BAYLOR PLZ # MC315

    HOUSTON, TX 770303411

    Phone: (480) 612-2422

    Type: Location

  • 18200 KATY FWY

    HOUSTON, TX 770941285

    Phone: (832) 227-1779

    Type: Location

  • 1 Baylor Plz # Mc315

    Houston, TX 770303411

    Phone: (480) 612-2422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220822000093IPathologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77094)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244298446View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. DEREK JUSTIN DANNER (MD)?
Save NPI 1104289222 if you need a stable reference for DR. DEREK JUSTIN DANNER (MD).
Is DR. DEREK JUSTIN DANNER (MD) active in the national directory?
DR. DEREK JUSTIN DANNER (MD)'s public NPI profile is in an active state.
What does DR. DEREK JUSTIN DANNER (MD) treat or focus on?
Patients typically see DR. DEREK JUSTIN DANNER (MD) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DEREK JUSTIN DANNER (MD)'s primary listing?
We display Houston, Texas because that is what the record indicates for DR. DEREK JUSTIN DANNER (MD).
Is DR. DEREK JUSTIN DANNER (MD) a real provider?
This page reflects official NPPES data for NPI 1104289222. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. JOSEPH D KHOURY (MD)

Anatomic Pathology & Clinical Pathology Physician
Houston Post Office, 123, South Main Street, Houston, Washington County, Pennsylvania, 15342, United States
NPI: 1013910108

JAMEELA AHMEDUDDIN (MD)

Anatomic Pathology & Clinical Pathology Physician
Mainland Medical Center, 6801, Emmett F Lowry Expressway, Texas City, Galveston County, Texas, 77591, United States
NPI: 1891799235

DR. HAZEL LEONOR AWALT (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Houston Methodist Willowbrook Hospital, 18220, Tomball Parkway, Houston, Harris County, Texas, 77070, United States
NPI: 1477557833

GUSTAVO ENRIQUE AYALA (M.D.)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 4677
NPI: 1992709356

EUGENIO INIS BANEZ (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Conroe Regional Medical Center, 504, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
NPI: 1699779058

MARIO CERVANTES-VAZQUEZ (M.D.)

Anatomic Pathology & Clinical Pathology Physician
United Memorial Medical Center, 510, West Tidwell Road, Houston, Harris County, Texas, 77026, United States
NPI: 1245234616

ROUPEN DEKMEZIAN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Jack in the Box, South Post Oak Road, Houston, Fort Bend County, Texas, 77053, United States
NPI: 1285638668

EDWIN HERBERT II BASDEN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
1919, La Branch Street, Houston, Harris County, Texas, 77002, United States
NPI: 1134123508

RASIKA DHEKNE (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Jack in the Box, South Post Oak Road, Houston, Fort Bend County, Texas, 77053, United States
NPI: 1255335642